<!DOCTYPE html>
<html>
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
<div class="wrapper wrapper-content ">
    <div class="row">
        <div class="col-sm-12">
            <div class="ibox float-e-margins">
                <div class="ibox-content">
                    <form class="form-horizontal m-t" id="signupForm">
                        <input id="userId" name="userId" type="hidden">
                        <div class="form-group">
                            <label class="col-sm-3 control-label">用户真实姓名：</label>
                            <div class="col-sm-8">
                                <input id="name" name="name" class="form-control" type="text">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">登录账号：</label>
                            <div class="col-sm-8">
                                <input id="userName" name="userName" class="form-control"
                                       type="text">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">密码：</label>
                            <div class="col-sm-8">
                                <input id="password" name="password" class="form-control"
                                       type="password">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">再次输入密码：</label>
                            <div class="col-sm-8">
                                <input id="confirm_password" name="confirm_password" class="form-control"
                                       type="password">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">手机号码：</label>
                            <div class="col-sm-8">
                                <input id="mobile" name="mobile" class="form-control"
                                       type="tel" maxlength="11">
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-3 control-label">所属收款户代理：</label>
                            <div class="col-sm-8">
                                <select data-placeholder="选择所属收款户代理" id="userIdCreate" name="userIdCreate"
                                        class="form-control chosen-select"
                                        tabindex="2" style="width: 100%">
                                    <option th:each="payeeAgent:${payeeAgentList}" th:value="${payeeAgent.userId}" th:text="${payeeAgent.userName}"></option>
                                </select>
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-3 control-label">额度：</label>
                            <div class="col-sm-8">
                                <input id="quota" name="quota" class="form-control"
                                       type="text" >
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-3 control-label">未回单数量限制：</label>
                            <div class="col-sm-8">
                                <input id="uncollectedQuantity" name="uncollectedQuantity" class="form-control"
                                       type="text" >
                            </div>
                        </div>

                        <div class="form-group">
                            <label class="col-sm-3 control-label">组长姓名：</label>
                            <div class="col-sm-8">
                                <input id="remarks" name="remarks" class="form-control"
                                       type="text">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">接单状态:</label>
                            <div class="col-sm-8">
                                <label class="radio-inline">
                                    <input type="radio" name="lineStatus" value="1" checked/> 开启
                                </label>
                                <label class="radio-inline">
                                    <input type="radio" name="lineStatus" value="0"/> 关闭
                                </label>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">状态:</label>
                            <div class="col-sm-8">
                                <label class="radio-inline">
                                    <input type="radio" name="status" value="1" checked /> 正常
                                </label>
                                <label class="radio-inline">
                                    <input type="radio" name="status" value="0" /> 禁用
                                </label>
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">数字令牌：</label>
                            <div class="col-sm-8">
                                <input id="code" name="code" class="form-control" type="tel"
                                       placeholder="请输入数字令牌" maxlength="6">
                            </div>
                        </div>
                        <div class="form-group">
                            <div class="col-sm-8 col-sm-offset-3">
                                <button type="submit" class="btn btn-primary">提交</button>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>

</div>
<div th:include="include::footer"></div>
<script type="text/javascript" src="/js/appjs/payee/payee/add.js">
</script>
</body>
</html>
